lOMoARcPSD|26582732
NEW AHIP FINAL EXAM TEST WITH COMPLETE
SOLUTIONS QUESTIONS AND ANSWERS ALL VERIFIED
Mr. Moy's Wife Has A Medicare Advantage Plan, Bu He Wants To Understand What Coverage
t Medicare
Insurance Would Help Cover His Part A And Part B Deductibles Or
Supplemental Insurance Provides Since His Health Care Needs Are Different From His Wife's Needs. What Could
You Tell Mr. Moy?Correct Answersmedicare Supplemental Coinsurance In Original Fee-
For-Service (FFS) Medicare As Well As Possibly Some Services That Medicare Does Not Cover.
Mrs. Peňa Is 66 Years Old, Has Coverage Under An Employer Plan, And Will Retire Next Year.
She Heard She Must Enroll In Part B A The Beginning Of The Year To Ensure No Gap In She
t
Coverage. What Can You Tell Her?Correct Answersshe May Enroll At Any Time While Is
Covered
Enrollment
Under Her
Standard
Employer
General
Plan, But She Will Have A Special Eight-Month
Period After The Last Month On Her Employer Plan That Differs From The
Enrollment Period, During Which She May Enroll In Medicare Part B.
Mrs. Chen Will Be 65 Soon, Has Been A Citizen For Twelve Years, Has Been Employed Full Time,
And Paid Taxes During That Entire Period. She Is Concerned That She Will Not Qualify For
Coverage Under Part A Because She Was Not Born In The United States. What Should You Tell
Her?Correct Answersmost Individuals Who Are Citizens And Age 65 Or Over Are Covered Under
Part A By Virtue Of Having Paid Medicare Taxes While Working, Though Some May Be Covered
A A Result Of Paying Monthly Premiums.
s
Mrs. Gonzalez Is Enrolled In Original Medicare And Has A Medigap Policy As Well, But It
Provides No Drug Coverage. She Would Like To Keep The Coverage She Has But Replace Her
Her?
Existing Medigap Plan With One That Provides Drug Coverage. What Should You Tell
Correct Answersmrs. Gonzalez Cannot Purchase A Medigap Plan That Covers Drugs, But She
Could Keep Her Medigap Policy Enroll In A Part D Prescription Drug Plan.
And
Mrs. West Wears Glasses And Dentures And Has Enjoyed Considerable Pain Relief
From
Arthritis Through Massage Therapy. She Is Concerned About Whether Or Not Medicare Will
Cover These Items And Services. What Should You Tell Her?Correct Answersmedicare Does Not
Cover Massage Therapy, Or, In General, Glasses Or Dentures.
When
Mr. Patel Is In
Medicare Good To
If He Were Health And Hospitalization
Is Preparing
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Require by NELSONA Budget
As A Result Of In Anticipation Of In
KIIRU ()
An Illness. HisGeneral
Retirement
, lOMoARcPSD|26582732
NEW AHIP FINAL EXAM TEST WITH COMPLETE
SOLUTIONS QUESTIONS AND ANSWERS ALL VERIFIED
H Turns 66. He Wants To Understand The Health Care Costs He Might Be Exposed To Under
e Terms,
What
Could You Tell Him About His Costs For Inpatient Hospital Services
Under Original Medicare?Correct Answersunder Original Medicare, There Is A Single Deductible Amount Due
For The First 60 Days Of Any Inpatient Hospital Stay, After Which It A All Costs.
Converts Into A Per-Day Coinsurance Amount Through Day 90. After Day 90, He Would Pay
Daily Amount Up To 60 Days Over His Lifetime, After Which He Would Be Responsible For
Ms. Henderson Believes That She Will Qualify For Medicare Coverage When She Turns 65,
Without Paying Any Premiums, Because She Has Been Working For 40 Years And Paying
Medicare Taxes. What Should You Tell Her?Correct Answersto Obtain Part B Coverage,
She Must
Pay A Standard Monthly Premium, Though It Is Higher For Individuals With Higher Incomes.
Mr. Alonso Receives Some Help Paying For His Two Generic Prescription Drugs From His
Employer's Retiree Coverage, But He Wants To Compare It To A Part D Prescription Drug Plan.
IntoAsks
He A You What Costs He Would Generally Expect To Encounter When Enrolling
Standard Medicarepart D Prescription Drug Plan. What Should You Tell Him?Correct
Answershe Generally Would Pay A Monthly Premium, Annual Deductible, And Per-
Prescription Cost-Sharing.
Ms. Moore Plans To Retire When She Turns 65 In A Few Months. She Is In Excellent Health
And
Will Have Considerable Income When She Retires. She Is Concerned That Her Income Will Make It Impossible For
Her To Qualify For Medicare. What Could You Tell Her To Address Her Concern?
Correct Answersmedicare Is A Program For People Age 65 Or Older And Those Under Age 65
With Certain Disabilities, End-Stage Renal Disease, And Lou Gehrig's Disease So She Will B
e
Eligible For Medicare.
Mr. Xi Will Soon Turn Age 65 And Has Come To You For Advice As Wha Services Are Provided
To t Under
Original Medicare. What Should You Tell Mr. Xi That Best Describes The Health Coverage
Provided To Medicare Beneficiaries? Correct Answersbeneficiaries Under Original Medicare
Have No Cost-Sharing For Most Preventive Services Which Include Immunizations Such
As
Annual Flu Shots.
Mrs. Duarte Is Enrolled In Original Medicare Parts A And B. She Has Recently Reviewed Her
Medicare Summary Notice (MSN) And Disagrees With A Determination That Partially Denied
One Of Her Claims For Services. What Advice Would You Give Her? Correct Answersmrs. Duarte
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, lOMoARcPSD|26582732
Should File An Appeal Of This Initial Determination Within 120 Days Of The Date She Received
The MSN In The Mail.
Mr. Capadona Would Like To Purchase A Medicare Advantage (MA) Plan And A Medigap Plan
To Pick Up Covered By Plan.
Costs Not That
What Should You Correct Answersit Is Illegal For
Tell Him? You To Sell Mr. Capadona A
Medigap Plan If He Is Enrolled In An MA Plan, And Besides, Medigap Only Works With Original Medicare.
Mrs.
Mrs. Park Is An Elderly Retiree. Mrs. Park Has A Low Fixed Income. What Could You
Tell
Park That Might Be Of Assistance? Correct Answersshe Should Contact Her State Medicaid
Agency To See If She Qualifies For One Of Several Programs That Can Help With Medicare Costs
For Which She Is Responsible .
Mr. Rainey Is Experiencing Paranoid Delusions And His Physician Feels That He Should Be Hospitalized. What
Should You Tell Mr. Rainey (Or His Representative) About The Length Of An
Inpatient Psychiatric Hospital Stay That Medicare Will Cover?Correct Answersmedicare Will
Cover A Total Of 190 Days Of Inpatient Psychiatric Care During Mr. Rainey's Entire Lifetime.
Mr. Schmidt Would Like To Plan For Retirement And Has Asked You What Is Covered Under
Original Fee-For-Service (FFS) Medicare? What Could You Tell Him?Correct Answersp Art
A,
Which Covers Hospital, Skilled Nursing Facility, Hospice, And Home Health Services And Part B,
Which Covers Professional Services Such As Those Provided By A Doctor Are Covered Under
Original Medicare.
Agent John Miller Is Meeting With Jerry Smith, A New Prospect. Jerry Is Currently
Enrolled In
Medicare
Which He Parts
Has AHad
AndFor
B. Several
Jerry Has Also However,Purchased
Years. The A Plan
Medicare Supplement
Does Not Provide (Medigap) Plan Drug
Benefits. How
Would You Advise Agent John Miller To Proceed?Correct A Nswerstell Prospect Jerry Smith
That He Should Consider Adding A Standalone Part D Prescription Drug Coverage Policy To His
Mr. Bauer Is 49 Years Old, But Eighteen Months Ago He Was Declared Disabled By The
Social Security Administration And Has Been Receiving Disability Payments. He Is
Him?
present coverage.
Correct Ans Wersafter Receiving Such Disability Payments For 24 Months, He Will Be
Automatically Enrolled In Medicare, Regardless Of Age.
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, lOMoARcPSD|26582732
Wondering Whether He Can Obtain Coverage Under Medicare. What Should You Tell
NEW AHIP FINAL EXAM TEST WITH COMPLETE
SOLUTIONS QUESTIONS AND ANSWERS ALL VERIFIED
Mr. Buck Has Several Family Members Who Died From Different Cancers. He Wants To Know If
Medicare Covers Cancer Screening.
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NEW AHIP FINAL EXAM TEST WITH COMPLETE
SOLUTIONS QUESTIONS AND ANSWERS ALL VERIFIED
Mr. Moy's Wife Has A Medicare Advantage Plan, Bu He Wants To Understand What Coverage
t Medicare
Insurance Would Help Cover His Part A And Part B Deductibles Or
Supplemental Insurance Provides Since His Health Care Needs Are Different From His Wife's Needs. What Could
You Tell Mr. Moy?Correct Answersmedicare Supplemental Coinsurance In Original Fee-
For-Service (FFS) Medicare As Well As Possibly Some Services That Medicare Does Not Cover.
Mrs. Peňa Is 66 Years Old, Has Coverage Under An Employer Plan, And Will Retire Next Year.
She Heard She Must Enroll In Part B A The Beginning Of The Year To Ensure No Gap In She
t
Coverage. What Can You Tell Her?Correct Answersshe May Enroll At Any Time While Is
Covered
Enrollment
Under Her
Standard
Employer
General
Plan, But She Will Have A Special Eight-Month
Period After The Last Month On Her Employer Plan That Differs From The
Enrollment Period, During Which She May Enroll In Medicare Part B.
Mrs. Chen Will Be 65 Soon, Has Been A Citizen For Twelve Years, Has Been Employed Full Time,
And Paid Taxes During That Entire Period. She Is Concerned That She Will Not Qualify For
Coverage Under Part A Because She Was Not Born In The United States. What Should You Tell
Her?Correct Answersmost Individuals Who Are Citizens And Age 65 Or Over Are Covered Under
Part A By Virtue Of Having Paid Medicare Taxes While Working, Though Some May Be Covered
A A Result Of Paying Monthly Premiums.
s
Mrs. Gonzalez Is Enrolled In Original Medicare And Has A Medigap Policy As Well, But It
Provides No Drug Coverage. She Would Like To Keep The Coverage She Has But Replace Her
Her?
Existing Medigap Plan With One That Provides Drug Coverage. What Should You Tell
Correct Answersmrs. Gonzalez Cannot Purchase A Medigap Plan That Covers Drugs, But She
Could Keep Her Medigap Policy Enroll In A Part D Prescription Drug Plan.
And
Mrs. West Wears Glasses And Dentures And Has Enjoyed Considerable Pain Relief
From
Arthritis Through Massage Therapy. She Is Concerned About Whether Or Not Medicare Will
Cover These Items And Services. What Should You Tell Her?Correct Answersmedicare Does Not
Cover Massage Therapy, Or, In General, Glasses Or Dentures.
When
Mr. Patel Is In
Medicare Good To
If He Were Health And Hospitalization
Is Preparing
Downloaded
Require by NELSONA Budget
As A Result Of In Anticipation Of In
KIIRU ()
An Illness. HisGeneral
Retirement
, lOMoARcPSD|26582732
NEW AHIP FINAL EXAM TEST WITH COMPLETE
SOLUTIONS QUESTIONS AND ANSWERS ALL VERIFIED
H Turns 66. He Wants To Understand The Health Care Costs He Might Be Exposed To Under
e Terms,
What
Could You Tell Him About His Costs For Inpatient Hospital Services
Under Original Medicare?Correct Answersunder Original Medicare, There Is A Single Deductible Amount Due
For The First 60 Days Of Any Inpatient Hospital Stay, After Which It A All Costs.
Converts Into A Per-Day Coinsurance Amount Through Day 90. After Day 90, He Would Pay
Daily Amount Up To 60 Days Over His Lifetime, After Which He Would Be Responsible For
Ms. Henderson Believes That She Will Qualify For Medicare Coverage When She Turns 65,
Without Paying Any Premiums, Because She Has Been Working For 40 Years And Paying
Medicare Taxes. What Should You Tell Her?Correct Answersto Obtain Part B Coverage,
She Must
Pay A Standard Monthly Premium, Though It Is Higher For Individuals With Higher Incomes.
Mr. Alonso Receives Some Help Paying For His Two Generic Prescription Drugs From His
Employer's Retiree Coverage, But He Wants To Compare It To A Part D Prescription Drug Plan.
IntoAsks
He A You What Costs He Would Generally Expect To Encounter When Enrolling
Standard Medicarepart D Prescription Drug Plan. What Should You Tell Him?Correct
Answershe Generally Would Pay A Monthly Premium, Annual Deductible, And Per-
Prescription Cost-Sharing.
Ms. Moore Plans To Retire When She Turns 65 In A Few Months. She Is In Excellent Health
And
Will Have Considerable Income When She Retires. She Is Concerned That Her Income Will Make It Impossible For
Her To Qualify For Medicare. What Could You Tell Her To Address Her Concern?
Correct Answersmedicare Is A Program For People Age 65 Or Older And Those Under Age 65
With Certain Disabilities, End-Stage Renal Disease, And Lou Gehrig's Disease So She Will B
e
Eligible For Medicare.
Mr. Xi Will Soon Turn Age 65 And Has Come To You For Advice As Wha Services Are Provided
To t Under
Original Medicare. What Should You Tell Mr. Xi That Best Describes The Health Coverage
Provided To Medicare Beneficiaries? Correct Answersbeneficiaries Under Original Medicare
Have No Cost-Sharing For Most Preventive Services Which Include Immunizations Such
As
Annual Flu Shots.
Mrs. Duarte Is Enrolled In Original Medicare Parts A And B. She Has Recently Reviewed Her
Medicare Summary Notice (MSN) And Disagrees With A Determination That Partially Denied
One Of Her Claims For Services. What Advice Would You Give Her? Correct Answersmrs. Duarte
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Should File An Appeal Of This Initial Determination Within 120 Days Of The Date She Received
The MSN In The Mail.
Mr. Capadona Would Like To Purchase A Medicare Advantage (MA) Plan And A Medigap Plan
To Pick Up Covered By Plan.
Costs Not That
What Should You Correct Answersit Is Illegal For
Tell Him? You To Sell Mr. Capadona A
Medigap Plan If He Is Enrolled In An MA Plan, And Besides, Medigap Only Works With Original Medicare.
Mrs.
Mrs. Park Is An Elderly Retiree. Mrs. Park Has A Low Fixed Income. What Could You
Tell
Park That Might Be Of Assistance? Correct Answersshe Should Contact Her State Medicaid
Agency To See If She Qualifies For One Of Several Programs That Can Help With Medicare Costs
For Which She Is Responsible .
Mr. Rainey Is Experiencing Paranoid Delusions And His Physician Feels That He Should Be Hospitalized. What
Should You Tell Mr. Rainey (Or His Representative) About The Length Of An
Inpatient Psychiatric Hospital Stay That Medicare Will Cover?Correct Answersmedicare Will
Cover A Total Of 190 Days Of Inpatient Psychiatric Care During Mr. Rainey's Entire Lifetime.
Mr. Schmidt Would Like To Plan For Retirement And Has Asked You What Is Covered Under
Original Fee-For-Service (FFS) Medicare? What Could You Tell Him?Correct Answersp Art
A,
Which Covers Hospital, Skilled Nursing Facility, Hospice, And Home Health Services And Part B,
Which Covers Professional Services Such As Those Provided By A Doctor Are Covered Under
Original Medicare.
Agent John Miller Is Meeting With Jerry Smith, A New Prospect. Jerry Is Currently
Enrolled In
Medicare
Which He Parts
Has AHad
AndFor
B. Several
Jerry Has Also However,Purchased
Years. The A Plan
Medicare Supplement
Does Not Provide (Medigap) Plan Drug
Benefits. How
Would You Advise Agent John Miller To Proceed?Correct A Nswerstell Prospect Jerry Smith
That He Should Consider Adding A Standalone Part D Prescription Drug Coverage Policy To His
Mr. Bauer Is 49 Years Old, But Eighteen Months Ago He Was Declared Disabled By The
Social Security Administration And Has Been Receiving Disability Payments. He Is
Him?
present coverage.
Correct Ans Wersafter Receiving Such Disability Payments For 24 Months, He Will Be
Automatically Enrolled In Medicare, Regardless Of Age.
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Wondering Whether He Can Obtain Coverage Under Medicare. What Should You Tell
NEW AHIP FINAL EXAM TEST WITH COMPLETE
SOLUTIONS QUESTIONS AND ANSWERS ALL VERIFIED
Mr. Buck Has Several Family Members Who Died From Different Cancers. He Wants To Know If
Medicare Covers Cancer Screening.
Downloaded by NELSON KIIRU ()
